H. Hanna et al., Management of an outbreak of vancomycin-resistant enterococci in the medical intensive care unit of a cancer center, INFECT CONT, 22(4), 2001, pp. 217-219
Between November 1996 and February 1997, 17 episodes of vancomycin-resistan
t enterococci (VRE) infection or colonization (9 infections, 8 colonization
s), all with the same or a similar genomic DNA pattern, were identified in
the medical intensive care unit (MICU) of a tertiary-care cancer hospital.
The cases were genotypically traced to a patient who was admitted to the ho
spital in September 1996 and who, by December 1996, had four different admi
ssions to the MICU. Multifaceted infection control measures, including deco
ntamination of the environment and of nondisposable equipment, halted the n
osocomial transmission of VRE in the MICU.